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Anatly

Axis (C2): anatomy, landmarks and articulations

Also called: second cervical vertebra, C2

Quick answer

The axis is the second cervical vertebra (C2). Its distinctive feature is the dens, or odontoid process, a tooth-like projection that rises from the body and forms a pivot for the atlas. This pivot allows the head to rotate from side to side.

Key facts

TypeIrregular bone (vertebra).
LocationSecond bone of the vertebral column, below the atlas.
LandmarksDens, body, spinous process, superior articular facets, transverse processes.
ArticulationsAtlas (atlanto-axial joints) and C3 vertebra.
Muscle attachmentsObliquus capitis inferior, rectus capitis posterior major, longus colli, semispinalis cervicis.
3D model of the axis (c2) shown with nearby bones

3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.

About the axis (c2)

The alar and transverse ligaments hold the dens in position against the anterior arch of the atlas.

Clinical relevance

Frequently asked questions

What is the dens of the axis?

A tooth-shaped projection from the body of C2 that acts as the pivot for rotation of the atlas and head.

What movement occurs at the atlanto-axial joint?

Rotation of the head, as in shaking the head to say no.

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Explore in context

Open the axis (c2) in the full 3D atlas

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